Experience of one-time retropubic prostatectomy and simultaneous pre-peritoneal hernioplasty in patients with benign prostatic hyperplasia and inguinal hernia

Authors

  • V. O. Shaprinskyi M. Pyrohov Vinnytsia National Medical University
  • V. I. Gorovyi M. Pyrohov Vinnytsia National Medical University
  • O. M. Kapshuk M. Pyrohov Vinnytsia National Medical University
  • R. P. Moraru-Burlesku M. Pyrohov Vinnytsia National Medical University
  • I. I. Dovgan M. Pyrohov Vinnytsia National Medical University
  • M. О. Malasaiev M. Pyrohov Vinnytsia National Medical University
  • O. R. Balatskiy M. Pyrohov Vinnytsia National Medical University
  • V. R. Taheiev M. Pyrohov Vinnytsia National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.3.13312

Keywords:

benign prostatic hyperplasia, retropubic prostatectomy, simultaneous pre-peritoneal hernioplasty, immediate and long-term results

Abstract

The aim of the work: to evaluate the immediate and long-term results of one-stage pubic prostatectomy and simultaneous pre-peritoneal hernioplasty in patients with benign prostatic hyperplasia and inguinal hernia.

Materials and Methods. The study included 152 patients with benign prostatic hyperplasia who were operated on in the urological department of the Vinnytsia Regional Clinical Hospital named after M. Pyrohov in the period from 2016 to 2021. The main group consisted of 32 (21.1 %) patients with benign prostatic hyperplasia and inguinal hernia, who underwent one-moment retropubic prostatectomy and simultaneous pre-peritoneal hernioplasty in the clinic. The comparison group consisted of 120 (78.9 %) patients with benign prostatic hyperplasia who underwent one-time retropubic prostatectomy. The average age of patients in the comparison group was (68.0±7.2) years, and in the main group – (67.1±6.9) years.

Results and  Discussion. The average age of patients in the comparison group was (68.0±7.2) years, the main group was (67.1±6.9) years; the average volume of the prostate in patients of the comparison group was (94.4±42.3) cm3, in the main group – (91.2±32.6) cm3. Inguinal hernias were found in all 32 patients of the main group, in 4 patients from both sides (a total of 36 inguinal hernias). The average times of pubic prostatectomy in the main group of patients and the comparison group were statistically the same (82.8±25.6) and (80.1±17.4) min., and simultaneous hernioplasty on one side lasted an average of (35.0±17.4) min. Neurological complications in the main group of patients were noted in 2 (6.25 %) patients, in the comparison group – 9 (7.5 %); urological – 11 (34.2 %) and 40 (33.3 %), respectively, and were statistically the same. The average postoperative bed-day in patients of the main group was (9.5±1.7); in the comparison group – (9.8±2.9). The quality of life of patients after simultaneous operations was statistically better due to the specified terms after surgical intervention when compared with the preoperative quality of life. Recurrences of inguinal hernia were not detected 3–5 years after the operation.

Performing simultaneous pre-peritoneal inguinal hernioplasty at the same time as simultaneous retropubic prostatectomy in patients with benign prostatic hyperplasia and inguinal hernia does not statistically worsen the immediate and long-term results of retropubic prostatectomy, and also helps to reliably eliminate two diseases at the same time from one surgical approach.

References

Horovyi, V.I., Shaprynskyi, V.O., Baralo, I.V., & Kapshuk, O.M. (2021). Zalobkova prostatektomiia v khirurhichnomu likuvanni dobroiakisnoi hiperplazii prostaty: navchalnyi posibnyk [Pubic prostatectomy in the surgical treatment of benign prostatic hyperplasia: study guide]. Vinnytsia: TOV “TVORY” [in Ukrainian].

Clavien, P.A., Barkun, J., de Oliveira, M.L., Vauthey, J.N., Dindo, D., Schulick, R.D., de Santibañes, E., et al. (2009). The Clavien-Dindo classification of surgical complications: five-year experience. Annals of Surgery, 250 (2), 187-196. https://doi.org/10.1097/SLA.0b013e3181b13ca2.

Grove, T.N., Muirhead, L.J., Parker, S.G., Brogden, D., Mills, S.C., Kontovounisios, C., Windsor, A., & Warren, O.J. (2021). Measuring quality of life in patients with abdominal wall hernias: a systematic review of available tools. Hernia: The Journal of Hernias and Abdominal Wall Surgery, 25 (2), 491-500. https://doi.org/10.1007/s10029-020-02210-w.

Gorovyi, V. I., Shaprynskyi, V.O., Chaika, H.V., Baralo, I.V., & Kapshuk, O.M. (2018). Nevidkladna urolohiia v praktytsi likariv khirurhichnoho profiliu: navchalnyi posibnyk [Urgent urology in the practice of surgical doctors: Textbook. manual]. Vinnytsia: TOV “TVORY” [In Ukrainian].

Gratzke, C., Bachmann, A., Descazeaud, A., Drake, M. J., Mader­sbacher, S., Mamoulakis, ... & Gravas, S. (2015). EAU Guidelines on the Assessment of Non-neurogenic Male Lower Urinary Tract Symptoms including Benign Prostatic Obstruction. European Urology, 67 (6), 1099-1109. https://doi.org/10.1016/ j.eururo.2014.12.038

Grove, T.N., Muirhead, L.J., Parker, S.G., Brogden, D., Mills, S.C., Kontovounisios, C., ... & Warren, O.J. (2021). Measuring quality of life in patients with abdominal wall hernias: a systematic review of available tools. Hernia: the Journal of Hernias and Abdominal Wall Surgery, 25 (2), 491-500. https:// doi.org/10.1007/s10029-020-02210-w

Johnson, O.K. (2015). Simultaneous open preperitoneal repair of inguinal hernia with open prostatectomy for benign prostate hyperplasia. Tropical Doctor, 45 (1), 42-43. https://doi.org/ 10.1177/0049475514554640

Karpenko, V.S, & Bogatov, O.P. (1981). Hirurgiya adenomy predstatelnoy zhelezy [Surgery of prostate adenoma]. Kyiv: Zdorovia [in Russian].

Klymenko, V.M., Klymenko, A.V., & Bilai, A.I. (2016). Otsinka bezposerednikh i viddalenykh rezultativ preperytonealnykh plastyk u likuvanni pakhvynnykh hryzh [Evaluation of direct and long-term results of preperitoneal plastics in the treatment of inguinal hernias]. Ukrainskyi zhurnal khirurhii – Ukrainian Journal of Surgery, 1-2 (30-31), 22-28 [in Ukrainian].

Downloads

Published

2022-10-05

How to Cite

Shaprinskyi, V. O., Gorovyi, V. I., Kapshuk, O. M., Moraru-Burlesku, R. P., Dovgan, I. I., Malasaiev M. О., … Taheiev, V. R. (2022). Experience of one-time retropubic prostatectomy and simultaneous pre-peritoneal hernioplasty in patients with benign prostatic hyperplasia and inguinal hernia. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 46–53. https://doi.org/10.11603/2414-4533.2022.3.13312

Issue

No. 3 (2022)

Section

ORIGINAL INVESTIGATIONS

License

Copyright (c) 2022 Hospital Surgery. Journal named by L.Ya. Kovalchuk

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).